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Transthoracic echocardiographic imaging of coronary arteries: tips, traps, and pitfalls.

Rigo F, Murer B, Ossena G, Favaretto E - Cardiovasc Ultrasound (2008)

Bottom Line: The aim of this paper is to highlight coronary investigation by transthoracic Doppler evaluation.Such diagnosis represents the most important clinical application but has in itself some limitations regarding anatomical and technological knowledge.We will conclude by underlining that, nowadays, innovative technology allows complete evaluation of both major coronary arteries in many patients in a resting condition as well as during pharmacology stress-tests, but we often do not know it.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiology, Umberto I Hospital, Mestre-Venice, Italy. g.ossena@alice.it

ABSTRACT
The aim of this paper is to highlight coronary investigation by transthoracic Doppler evaluation. This application has recently been introduced into clinical practice and has received enthusiastic feedback in terms of coronary flow reserve evaluation on left anterior coronary artery disease diagnosis. Such diagnosis represents the most important clinical application but has in itself some limitations regarding anatomical and technological knowledge. The purpose of this paper is to offer a didactic approach on how to investigate the different segments of left anterior and posterior descending coronary arteries by transthoracic ultrasound using different anatomical key structures as markers. We will conclude by underlining that, nowadays, innovative technology allows complete evaluation of both major coronary arteries in many patients in a resting condition as well as during pharmacology stress-tests, but we often do not know it.

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represents an artist's drawing illustrating transducer beam orientations to the left anterior descending coronary artery (LAD) and to posterior descending coronary arteries with the corresponding echocardiographic images of the mid-distal tract of LAD Pulse-wave flow and posterior descending coronary artery (PDCA).
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Figure 2: represents an artist's drawing illustrating transducer beam orientations to the left anterior descending coronary artery (LAD) and to posterior descending coronary arteries with the corresponding echocardiographic images of the mid-distal tract of LAD Pulse-wave flow and posterior descending coronary artery (PDCA).

Mentions: Left anterior descending (LAD) coronary anatomy was the first artery investigated with ultrasound by transesophageal and transthoracic approach. This vessel is visible by using ultrasound from proximal to distal tract and following key anatomical structures through the delivery of an ultrasound beam in an off-axis approach starting from the classical apical approach (Fig 1, 2).


Transthoracic echocardiographic imaging of coronary arteries: tips, traps, and pitfalls.

Rigo F, Murer B, Ossena G, Favaretto E - Cardiovasc Ultrasound (2008)

represents an artist's drawing illustrating transducer beam orientations to the left anterior descending coronary artery (LAD) and to posterior descending coronary arteries with the corresponding echocardiographic images of the mid-distal tract of LAD Pulse-wave flow and posterior descending coronary artery (PDCA).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2268663&req=5

Figure 2: represents an artist's drawing illustrating transducer beam orientations to the left anterior descending coronary artery (LAD) and to posterior descending coronary arteries with the corresponding echocardiographic images of the mid-distal tract of LAD Pulse-wave flow and posterior descending coronary artery (PDCA).
Mentions: Left anterior descending (LAD) coronary anatomy was the first artery investigated with ultrasound by transesophageal and transthoracic approach. This vessel is visible by using ultrasound from proximal to distal tract and following key anatomical structures through the delivery of an ultrasound beam in an off-axis approach starting from the classical apical approach (Fig 1, 2).

Bottom Line: The aim of this paper is to highlight coronary investigation by transthoracic Doppler evaluation.Such diagnosis represents the most important clinical application but has in itself some limitations regarding anatomical and technological knowledge.We will conclude by underlining that, nowadays, innovative technology allows complete evaluation of both major coronary arteries in many patients in a resting condition as well as during pharmacology stress-tests, but we often do not know it.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiology, Umberto I Hospital, Mestre-Venice, Italy. g.ossena@alice.it

ABSTRACT
The aim of this paper is to highlight coronary investigation by transthoracic Doppler evaluation. This application has recently been introduced into clinical practice and has received enthusiastic feedback in terms of coronary flow reserve evaluation on left anterior coronary artery disease diagnosis. Such diagnosis represents the most important clinical application but has in itself some limitations regarding anatomical and technological knowledge. The purpose of this paper is to offer a didactic approach on how to investigate the different segments of left anterior and posterior descending coronary arteries by transthoracic ultrasound using different anatomical key structures as markers. We will conclude by underlining that, nowadays, innovative technology allows complete evaluation of both major coronary arteries in many patients in a resting condition as well as during pharmacology stress-tests, but we often do not know it.

Show MeSH
Related in: MedlinePlus